| NPI | 1871761957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TILLET J MILLS Owner 314-692-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO MDR9J60) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |